EZEQUIEL ADONY ANDRADE MD
NPI 1689296576
Family Medicine - Geriatric Medicine in Harbor City, CA

Active since May 13, 2020PECOS Enrolled
1403 LOMITA BLVD STE 102, HARBOR CITY, CA 90710(424) 306-4000 Get Directions Write a Review

NPPES record last updated: February 18, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 28, 2023, May 13, 2020 (2 updates tracked since 2020).

About Ezequiel Adony Andrade Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EZEQUIEL ADONY ANDRADE MD (NPI 1689296576) is an individual geriatric medicine provider in Harbor City, California, licensed in California (A181210) and active in the NPI registry since May 2020. He is enrolled in Medicare PECOS and is a graduate of Un Of California, Irvine, College Of Medicine (2020).

NPPES Registry Identity

NPI1689296576
Entity TypeIndividualMale
Primary Taxonomy207QG0300X
Provider Legal NameEZEQUIEL ADONY ANDRADECredential: MD
Location Address1403 LOMITA BLVD STE 102Harbor City, CA 90710-2084
Mailing Address1403 Lomita Blvd Ste 200Harbor City, CA 90710-2086 · (424) 306-6500
Sole ProprietorYes
Medical School CMSUn Of California, Irvine, College Of MedicineGraduated 2020
Enumeration DateMay 13, 2020
Last NPPES UpdateFebruary 18, 20242 updates tracked since enumeration
NPPES CertifiedFebruary 18, 2024
NPI 1689296576 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyFamily Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QG0300X
License Licensed in CA · A181210
Definition

A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.

Also ListedPharmacist · Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy 1835P0018X · License A181210 (CA)
1403 LOMITA BLVD STE 102, Harbor City, CA 90710

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Ezequiel Adony Andrade Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8224562921
PECOS Enrollment IDI20241115003863
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
16 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90710 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
1403 LOMITA BLVD STE 102
HARBOR CITY, CA 90710
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1403 LOMITA BLVD STE 102
HARBOR CITY, CA 90710
Family Medicine
1403 LOMITA BLVD STE 102
HARBOR CITY, CA 90710
Family Medicine
1403 LOMITA BLVD STE 102
HARBOR CITY, CA 90710
Hospitalist
1403 LOMITA BLVD STE 102
HARBOR CITY, CA 90710
Family Medicine
1403 LOMITA BLVD STE 102
HARBOR CITY, CA 90710
Family Medicine
1403 LOMITA BLVD STE 102
HARBOR CITY, CA 90710
Student in an Organized Health Care Education/Training Program
1403 LOMITA BLVD STE 102
HARBOR CITY, CA 90710

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1689296576, enumerated as an "individual" on May 13, 2020.

The provider is located at 1403 LOMITA BLVD STE 102 HARBOR CITY, CA 90710 and the phone number is (424) 306-4000.

Family Medicine with taxonomy code 207QG0300X and a focus in Geriatric Medicine.